NPI 1851956791 · live from the CMS NPI Registry
Vethilla Davis
Nurse Practitioner, Psych/Mental Health in Atlanta, GA. National Provider Identifier 1851956791, active.
NPI record
| NPI | 1851956791 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 |
| Practice phone | 404-616-4781 |
| Mailing address | 20 Herrell Rd, Villa Rica, GA 30180 |
| Enumerated | May 7, 2019 |
| Last updated | May 7, 2019 |
| Sole proprietor | No |
| Other names | Vethilla Hairston |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | RN254248 (GA) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | RN254248 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.